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General information on
surgery and treatment for physicians

General Practioners:

We provide complete spectrum of care from screening for cancer, second opinions to diagnostic procedures, staging workup and holistic treatment within the framework of a multidisciplinary tumour board.

Oncologists:

We provide comprehensive treatment for all solid organ cancers including Head and neck, Thoracic, GI, Hepatobiliary, Gynacologic and soft tissue sarcomas. Special expertise is in the application of minimal access as laparoscopy and robotic surgery to colorectal, gastric, oesophageal and Gynaecologic Cancers.

Gastroenterologists:

Extensive experience in the management of gastrointestinal cancers-oesophageal, stomach, colon and rectal and pancreatic cancers. Fellowship trained in laparoscopic and robotic colon and rectal cancer surgery. Published experience on long-term outcomes of robotic total mesorectal excision for rectal cancer.

Surgeons:

We offer comprehensive treatment for all types of cancers affecting the Head and neck, Breast, GI tract and soft tissues. Patients, whom we treat, will be referred back to you for appropriate follow up at your end. If you've biopsied a patient's lesion and it shows cancer or there is a suspicion of cancer, I can guide you regarding the next line of investigations and further treatment.

Gynacologists:

We routinely treat ovarian, cervical, endometrial, vulvar and vaginal cancers. While ovarian cancers are still better treated by open cytoreductive surgery, endometrial and cervical cancers in the majority of cases can be resected using a minimally invasive laparoscopic or Robotic approach.

Robotic surgery for practitioners

Robotic surgery is in essence computer-aided surgery, combining 3-D imaging and special instruments with wrist like joints, capable of multiple angles of movement. These instruments behave like an extension of the surgeon's own hands. The surgeon sits at a console, which gives him a magnified three-dimensional image of the patient's anatomy and operates using special grips in which the fingers are placed. This console is connected to the robotic device, which has a endoscopic camera and 3 arms fitted with instruments. These instruments are placed through trocars placed via tiny incisions in the chest or abdomen as in laparoscopic surgery. The robotic instruments mimic the surgeon's finger movements and the robot is a 'slave' with no independent capacity for thought or movement.

The benefits of this platform as regards the technical aspects include:
  • Magnified three-dimensional optics giving a more real feel of the operative field than laparoscopy.
  • Instruments with extreme degrees of freedom (Endo-wristed), enabling the surgeon to use instruments in narrow confined spaces and at angles impossible with open or laparoscopic instruments.
  • Tremor filtration-removing physiologic tremor from manifesting as instrument movement.
  • Motion scaling which allows the surgeon to reduce the degree of instrument movement as a proportion of movement of the surgeon's fingers enabling a great degree of precision.
  • All these provide the ultimate in flexibility and precision for exceptional surgical technique.
Patient benefits include:
  • Significantly less pain
  • Less blood loss
  • Less scarring
  • Shorter hospital stay
  • Faster return to normal daily activities
  • Equivalent cancer specific outcomes as open surgery

Robotic surgery is now being increasingly used for cancer surgeries due to the extreme degree of precision and magnification, enabling a radical cancer operation to be performed while sparing nerves and other critical structures. This is particularly important in rectal and Gynaecologic Cancer surgeries. Practically all cancers are amenable to this approach with the possible exception of locally advanced (T4 tumours).

Specific cancers treatable by robotic surgery include:
  • Colon and rectal cancer
  • Endometrial and cervical cancer
  • Oesophageal and stomach cancer
  • Early cases of pancreatic cancer
  • Kidney, bladder and prostate cancer